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FORGE MEDICAL GROUP LLC

Company Details

Name: FORGE MEDICAL GROUP LLC
Jurisdiction: New York
Legal type: FOREIGN PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Oct 2022 (3 years ago)
Entity Number: 6619464
ZIP code: 10528
County: Westchester
Place of Formation: New Jersey
Foreign Legal Name: FORGE MEDICAL GROUP LLC
Address: 111 muchmore road, HARRISON, NY, United States, 10528

Contact Details

Phone +1 914-539-7600

Phone +1 718-814-7600

DOS Process Agent

Name Role Address
the llc DOS Process Agent 111 muchmore road, HARRISON, NY, United States, 10528

National Provider Identifier

NPI Number:
1811561855
Certification Date:
2024-01-30

Authorized Person:

Name:
DANIEL LENZO
Role:
VP
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
862794729
Plan Year:
2023
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
0
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
221020000154 2022-10-19 APPLICATION OF AUTHORITY 2022-10-19

Date of last update: 21 Mar 2025

Sources: New York Secretary of State